MIPS Reporting

The Centers for Medicare and Medicaid Services (CMS) has added physical therapists (PTs) to the list of providers in the CMS Quality Payment Program (QPP). As of January 2019, PTs providing services under Medicare Part B who meet qualifying criteria must participate in either the Merit-based Incentive Payment Program (MIPS) or an Advanced Alternative Payment Model (Advanced APM).

Others who are not required to participate still may be eligible.

Key 2019 Deadlines

If you are considering APTA's Physical Therapy Outcomes Registry, here are some key 2019 deadlines to keep in mind.

June 30: Registry enrollment deadline for 2019 MIPS reporting. While APTA accepts new enrollees in the Registry all year long, physical therapists who wish to submit data to CMS as part of the 2019 MIPS reporting year (which will determine the payment incentive or penalty for 2021) must indicate their intent to do so by enrolling in the Registry by June 30, 2019.

July 1: Registry enrollment opens for the 2020 reporting year. You can beat the rush by enrolling earlier rather than later, ensuring your participation.

IROMS13: Failure to Progress (FTP): Proportion of patients not achieving a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with hip, leg or ankle injuries using the validated Lower Extremity Function Scale (LEFS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID. Download in Adobe PDF.